Dumas, TX

Great Plains Nursing And Rehabilitation

5-star overall rating with 5-star inspections with 2 recent health deficiencies

315 E 19th, Dumas, TX

(806) 935-4143

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

39

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1992-03-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.79

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.57

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.03

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.55

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

3.95

CMS adjusted total nurse staffing hours

Case-mix index

1.05

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,683

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

54.82

Composite VBP score used to determine payment impact.

Payment multiplier

1.0097

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

8.24

Baseline 7.41% · Performance 30.00% · Measure score 8.24 · Achievement 8.24 · Improvement 0

Adjusted total nurse staffing

2.72

Baseline 3.17 hours · Performance 3.85 hours · Measure score 2.72 · Achievement 2.72 · Improvement 2.11

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.73	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 21 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 59
Staff flu vaccination coverage	45.95%	42% 4 pts better	Numerator 34 · Denominator 74
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.1%	3.3% 1.2 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.9% · Q4 2.6% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.8%	2.7% 1.9 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight	2.9%	3.3% 0.4 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 2.9% · Q4 2.7% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.5%	18.9% 12.4 pts better	19.6% 13.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.9% · Q3 5.9% · Q4 10.8% · 4Q avg 6.5%
Percentage of long-stay residents who received an antipsychotic medication	6.7%	10.8% 4.1 pts better	16.7% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 7.1% · Q3 3.3% · Q4 6.5% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	11.3%	15.4% 4.1 pts better	16.3% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 0.0% · Q3 15.3% · Q4 21.7% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.9%	16.1% 5.2 pts better	14.9% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 5.9% · Q3 2.9% · Q4 21.6% · 4Q avg 10.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.3%	15.0% 0.7 pts better	19.8% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 22.9% · Q3 12.8% · Q4 11.9% · 4Q avg 14.3%
Percentage of long-stay residents with pressure ulcers	3.4%	4.2% 0.8 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 7.3% · Q4 2.7% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q3 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-30 · Fire 2025-05-30

2 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-19 · Fire 2024-04-19

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-24 · Fire 2023-02-24

5 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-05-30

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-06-17

F · Potential for more than minimal harm 2024-04-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-20

F · Potential for more than minimal harm 2024-03-05

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-03-21

D · Potential for more than minimal harm 2023-04-25

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-04-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-17

F · Potential for more than minimal harm 2023-02-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-02-24

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-02-25

D · Potential for more than minimal harm 2023-02-24

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-03-23

Penalties and ownership